Which cities near Detroit, MI have the most claims investigator job openings?

The cities near Detroit, MI that boast the highest number of claims investigator jobs are: Warren Akron Fort Wayne Cleveland Lansing

Which cities near Detroit, MI have the most job openings?

The 10 cities near Detroit, MI that have the most job openings are: Ann Arbor Sterling Heights Warren Akron Fort Wayne Toledo Cleveland Lansing Dearborn Livonia

What are the most popular job searches in Detroit, MI?

The 10 most popular job searches in Detroit, MI are: amazon city work from home amazon warehouse government warehouse gm online medical courier security

What are the highest-paying jobs in Detroit, MI?

The highest-paying jobs are: owner operator ( from $ 72,800 to $ 237,500 year ) biomedical ( from $ 75,734 to $ 235,000 year ) technical program manager ( from $ 70,000 to $ 230,500 year ) solutions architect ( from $ 131,103 to $ 228,000 year ) mental health specialist ( from $ 52,128 to $ 226,069 year ) pediatric dentist ( from $ 162,500 to $ 225,375 year ) sustainability ( from $ 97,101 to $ 223,600 year ) pet care ( from $ 42,500 to $ 220,870 year ) associate dentist ( from $ 30,000 to $ 220,000 year ) dentist ( from $ 60,000 to $ 220,000 year )

Which cities in the United States of America offer the highest salaries for claims investigator jobs?

The top 10 cities are: Chicago, IL ( from $ 42,638 to $ 75,184 year ) Los Angeles, CA ( from $ 43,875 to $ 72,871 year ) Phoenix, AZ ( from $ 40,945 to $ 45,137 year )

Claims investigator Jobs in Detroit, MI

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Claims investigator • detroit mi

Last updated: 1 hour ago

Recipient Rights Investigator

DETROIT WAYNE Integrated HEALTH NetworkDetroit, Michigan, United States, 48202

Full-time

Special Investigations Unit (SIU) - Field Investigator

Ethos Risk ServicesDetroit, MI, USA

$25.00 hourly

Full-time

Quick Apply

ABOUT US:Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection.At the forefront, we provide accurate data ... Show more

Claims Appraiser - Auto Estimatics

State FarmDetroit, MI, United States

$69,398.62 yearly

Full-time

Being good neighbors helping people, investing in our communities, and making the world a better place is who we are at State Farm.It is at the core of how we operate and the reason for our succe... Show more

Sr Manager, Life & Annuities Claims

1208 FSG - Cybertek Corp.DETROIT,MI,USA

Full-time

DXC Technology is a leading enterprise technology and innovation partner delivering software, services, and solutions to global enterprises and public sector organizations — helping them harness AI... Show more

Surveillance Investigator

FrascoDetroit, MI

$20.00 hourly

Full-time +1

Job Type Full-time Description.Part-Time, Billable Hours, Non-exempt.Eager to start your career in a growing industry? Get paid to learn the ropes of fraud investigation and real-world surveillance... Show more

Litigation Financial Analyst / Investigator Supporting the USAO

FSA FederalDetroit, MI, United States

Full-time

RAI) is a small business with a 40-year track record in serving the Federal Government.Our cleared workforce of over 200 employees has supported Federal agencies across globally located cities, ter... Show more

Sr Manager, Life & Annuities Claims

DXC TechnologyDetroit, MI, United States

Full-time

Senior Manager, Life & Annuities Claims.DXC Technology is a leading enterprise technology and innovation partner delivering software, services, and solutions to global enterprises and public sector... Show more

Director, Mass Torts - Disputes, Claims & Investigations

StoutDetroit, MI, United States

Full-time

At Stout, we're dedicated to exceeding expectations in all we do we call it Relentless Excellence.Both our client service and culture are second to none, stemming from our firmwide embrace of our ... Show more

Pathways Recent Graduate Claims and Program Representative

US Government Jobs - Other AgenciesDetroit, MI, United States

$52,059.00 yearly

Permanent

Pathways Recent Graduate Claims And Program Representative.The RRB Recent Graduates Program affords developmental experiences in the Federal Government intended to promote possible careers in the c... Show more

Claims Specialist

MSX InternationalDearborn, MI, United States

Full-time

MSX has been a trusted partner to leading vehicle manufacturers, their retailers, and mobility organizations globally for more than 30 years.Our unwavering commitment is to help our clients transfo... Show more

Catastrophe Field Claims Specialist

The Auto Club GroupDetroit, MI, United States

$70,000.00 yearly

Full-time +1

Catastrophe Field Claims Specialist.Make a meaningful impact when people need it most.As a Catastrophe Field Claims Specialist, you'll be on the front lines helping customers recover after catastro... Show more

Litigation Financial Analyst / Investigator Supporting the USAO

FSADetroit, MI, US

Full-time

Financial Investigator Remote / Telecommute Jobs

Clearance JobsDetroit, MI, United States

Temporary

CGS is seeking a Financial Investigator to join our team providing legal support and investigative services to a large federal agency.CGS brings motivated, highly skilled, and creative people toget... Show more

Sr. Claims Adjuster - Commercial

GpacDetroit, Michigan, United States

Full-time

Quick Apply

Senior Claims Adjuster - REMOTE - must reside in Michigan.This position will be responsible for conducting thorough investigations, evaluating liability and damages, managing reserves, negotiating ... Show more

Healthcare Fraud Investigator

Contact Government ServicesDetroit, MI, United States

Full-time

Employment Type: Full-Time, Mid-Level.CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville, TN.The candidate must take the initiative ... Show more

Forensic Fire Investigator - Part Time in Detroit

RimkusDetroit, MI, US

Full-time +1

Quick Apply

Join Rimkus and unlock your potential with endless opportunities for growth, learning, and making a difference!.Rimkus ( is a worldwide leader in Engineering and Technical Consulting.Rimkus ex... Show more

Commercial Auto Claims Adjuster - REMOTE

Work At Home Vintage ExpertsDetroit, MI, US

Remote

Full-time +2

Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

ESIS Senior Vice President, Specialty Claims

ChubbDetroit, MI, United States

Full-time

ESIS Senior Vice President, Specialty Claims.The ESIS Senior Vice President (SVP), Specialty Claims is responsible for leading the strategies, sales and marketing for the Specialty Claims businesse... Show more

Senior Claims Specialist

Liberty Mutual Insurance GroupDetroit, MI, United States

Full-time

The Senior Claims Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within a... Show more

Property Field Claims Adjuster (Detroit, MI)

American Family InsuranceDetroit, MI, United States

$57,000.00 yearly

Full-time

You will work in the field and report to the Property Claim Manager, handling homeowner property field claims in the Detroit, MI area.Also open to Pontiac, Southfield and Mt.You must be located wit... Show more

Recipient Rights Investigator

DETROIT WAYNE Integrated HEALTH NetworkDetroit, Michigan, United States, 48202

9 days ago

Job type

Full-time

Job description

Recipient Rights Investigator

Pay Grade:6

Under the general supervision of the Director of Recipient Rights, the Recipient Rights Investigators (RRI) work at the Detroit Wayne Integrated Health Network (DWIHN) advocating for recipients and recipient services. Employees in this classification also make recommendations for improvements to the rights protection system.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Receives and reviews complaints of suspected or alleged violations of the rights of recipients of services in accordance with the Michigan Mental Health Code.
Investigates complaints of alleged violations throughout the Network’s service delivery system.
Conducts interviews with recipients of services, witnesses, and employees.
Conducts reviews of service sites.
Writes comprehensive written reports of investigative findings.
Develops and recommends appropriate remedial action.
Monitors contractors within the Network’s service provision system to ensure timely implementation and documentation of remedial actions.
Testifies in criminal and civil litigation as the investigator and subject matter expert in issues involving violations of the rights of recipients of service.
Partners closely with regulatory and industry counterparts and law enforcement agencies.
Monitors contractors within the Network’s service delivery system for compliance with regulations, rules and policies related to recipient rights.
Prepares appropriate reports of the aforementioned reviews including corrective action plans for noted deficiencies.
Develops and maintains collaborative relationships with providers of service for the enhancement of the rights protection system.
Performs related duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

Knowledge of DWIHN policies, procedures and practices.
Knowledge of the DWIHN provider network and community resources.
Knowledge of the Michigan Mental Health Code.
Knowledge of MDHHS policies, rules, regulations and procedures.
Knowledge of Federal policies, rules, regulations and procedures as it relates to DWIHN.
Knowledge of compliance standards.
Knowledge of the Federal Confidentiality Regulations, 42 CFR, Part 2
Knowledge of Federal regulations regarding recipient rights.
Knowledge of MDHSS regulations regarding recipient rights.
Knowledge of DWIHN policies and procedures regarding recipient rights.
Knowledge of criminal and civil law.
Assessment skills.
Organizational skills.
Accuracy skills.
Analytical skills.
Time Management skills.
Report writing skills.
Problem Solving skills
Decision Making skills.
Critical Thinking skills.
Skill at meeting deadlines
Multitasking skills.
Active listening skills.
Skill at Cross-cultural communication.
Written communication skills.
Accuracy and detailed oriented skills
Computer skills (Word, Excel, Access, Power Point, Outlook, Teams)
Teamwork Skills.
Ability to communicate orally.
Ability to communicate in writing.
Ability to work effectively with others.
Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.
Judgement/Reasoning ability

REQUIRED EDUCATION:

A Bachelor’s Degree from a recognized college or university in a Human Service, Social Service, Public Health, Public Administration, Healthcare Administration, Health Management, Business Administration, Conflict Resolution, Criminal Justice or a related field.

REQUIRED EXPERIENCE:

Two (2) years of full time paid investigative work experience in human rights and/or criminal justice.

REQUIRED LICENSE(S).

A valid State of Michigan Driver’s License with a safe and acceptable driving record.

NOTE: Employees are required to have an operable vehicle available during work hours.

WORKING CONDITIONS:

Work is usually performed in an office setting but requires the employee to drive to different sites throughout Wayne County and the State of Michigan.

This description is not intended to be a complete statement of job content, rather to act as the essential functions performed. Management retains the discretion to add or change the position at any time.

Please Note: DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process.

The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer

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